ESPN 54th Annual Meeting

ESPN 2022


 
Evaluation Of Ambulatory Blood Pressure Monitoring In Childhood Primary Headaches
ASIYE BOLCA 1 SEÇIL ARSLANSOYU ÇAMLAR 2 CEMALIYE BAŞARAN 3 GÖKÇEN ERFIDAN 3 DEMET ALAYGUT 2 FATMA MUTLUBAŞ 2 BELDE KASAP DEMIR 4

1- UNIVERSITY OF HEALTH SCIENES IZMIR TEPECIK TRAINING AND RESEARCH HOSPITAL DEPARTMENT OF PEDIATRICS
2- UNIVERSITY OF HEALTH SCIENCES IZMIR FACULTY OF MEDICINE DEPARTMENT OF PEDIATRIC NEPHROLOGY
3- UNIVERSITY OF HEALTH SCIENCES IZMIR TEPECIK TRAINING AND RESEARCH HOSPITAL DEPARTMENT OF PEDIATRIC NEPHROLOGY
4- IZMIR KATIP CELEBI UNIVERSITY FACULTY OF MEDICINE DEPARTMENT OF PEDIATRIC NEPHROLOGY AND RHEUMATOLOGY
 
Introduction:

 Primary headache, one of the most common complaints in children may have elevated blood pressure (BP) load even if the office blood pressure measurements are normal and this may have a role in the etiology of primary headache. Ambulatory Blood Pressure Monitoring (ABPM) is an effective and non-invasive tool to diagnose hypertension and identifying risk groups for cardiovascular disease. Herein, we aimed to evaluate ABPM in children followed up with Primary Headache.

Material and methods:

 Children aged 8-17 years, who diagnosed with primary headache and had office blood pressure below the 95th percentile were included. Age and gender matched healthy control group is also involved. The 24-hour ABPM was performed to the children in the patient and control groups Demographic data, office blood pressures and ABPM results were compared between the patient and control groups.

Results:

 Our study included 37 patients diagnosed with Primary Headache (30 migraine, 7 tension-type headache) and 37 healthy children in the control group. the patient and control groups were similar in case of age, gender and SDSs of body weight, height, body mass index and office blood pressure.
The ABPM data showed significantly elevated total systolic blood pressure (SBP), daytime SBP, nocturnal SBP, nocturnal systolic load, and nocturnal diastolic load in the study group compare to the control group. There was no difference between groups in terms of total diastolic blood pressure (DBP), daytime DBP, nocturnal DBP, total mean arterial pressure (MAP), daytime MAP, nocturnal MAP, daytime systolic load, daytime diastolic load, systolic dipping and diastolic dipping.

Conclusions:

Children who apply to the hospital with a complaint of headache may have abnormal ABPM parameters although they have normal office blood pressure. These children may need to be evaluated to identify risk groups for hypertension and cardiovascular disease.